ronsrn

Well all of those questions you just asked so did we. The medication is administered by a radiologist. The order is ordered by an oncology physician . The sketchy part is the activation there is no guidance by our nursing board that deals with activating an order. We have come to the conclusion that we do a nurses note stating by activating this order the RN does not in anyway agreed to the plan of care for this patient. That's kind of the best we can do. We have asked for a second oncology RN to agree that this order can be simply activated by any RN but resistance has deleted this process.

We are a hospital that engages in out patient chemo Lumbar punctures. We have been given the task of "activating" chemo orders. Our direction is to meet the patient and performa series of assessments [not the issue] . what is the issue is that there is an order placed by the oncology doctor, there is no evidence it has been double checked by an oncology RN and we are activating the order to give this to the patient. Can anyone advise of a procedure you may be using that can help ours? Some RN's worry this is out of scope or they are being for the lack of a better word "used" as the double check when they are not oncology rns.

Im a chemical engineer i save lives everyday. Naw not a good tshirt slogan

I wish i could get paid to do these studies. Maybe ill marry a doctor one day that will allow me to do this.

He is a doctorate of pharmacy by spending enuff boring time in a classroom. And i agree he must also have taken "crap on people 101" he should have had the smarts to avoid causing a bad situation for everyone. People get so butthurt over status. Signed normal joe

i doubt you will be there by then and it is a lot of time ahead

you should move - seriously your a nurse???

if it were just a ct i would doubt there was an RN there -they would have been called to it - sometimes crap just happens

I think we dont know enough here to judge. What kind of proceedure was it did it involve conscious sedation. Was it indeed a bleed?? Ir Rns (most) are either experienced icu or ed nurses so they usually know what to do with a fail on a patient. If it indeed was the Ir nurse uktimatley responsible that will come out if any inquiries. All this talk of Rns throwing each other under a bus is what makes this proffession week at time. Be more proffessional and don't dictate blame til you know.

Smaller size oncology hospital here we have 2 staff [usually only one per day though] MD's and a PA we do on average about 10 a day then the add on inpatients varies. We staff 3 nurses and a lead . Days get busy often

good point riley

Funny SG Those damn rad techs i hear you 100% but our overall supv was an RN and many of them got the turf - we all gotta geet along

amyla is the correct was to go if your an RN , get into as many icu's as possible the bridge from ICU on the ground to ICU [and thats what it is] in the air is key. Your not an ER RN up there you are the pts life support if you havent dont it regularly on the ground god help them in the sky where you act as RN/RT/DR sure you may have a sat phone to your medical director, im sure he sits there just waiting for the call LOL, its hard to talk when your intubating,running drugs,holding pressure and about to start compressions :). Good flight companies look for well trained icu RN's who may have some trauma experience but ask any ICU RN if they ever see trauma and i think they would say yes.

I worked at Maricopa and they have an excellent burn center in Phoenix AZ

i also like the icu book but the washington icu book is the best read. You didnt say how old you were or your preferred learning? are they providing good orientation?? I was 42 and hired as a new grad ICU RN i had 6 months or "grad" trainng then an additional 6 months of ICU training, i had excellent co workers [some icu RN's are hard to work with] I actually attended the course by Laura ???? she wrote the ICU CCRN review book and is excent to listen to [very funny and informative] ask around someone may have her CD's. Also go to as many CEU courses as you can, to be a good ICU RN you have to submerge yourself in the culture, ask lots of questions then after a while things will come natural, dont be afraid to ask when you arent sure.

anyone know the law in Arizona we had a young 20's girl stuck by a psych pts blood , the Dr's would not sign a 2 Dr consent and they had deemed her incompetant and even though she would have let someone they did not allow the test. Can a CD4 be taken without consent by the Dr's especially if they could be ruling out the reason for ALOC? Shame on these facilities for not protecting their employees better. AND FOR those that answer they have to abide by the law , laws can be changed

Be proud of what you are - do you think fire or police officers hesitate??? We are what we are people -if your the nurse from hell thats another story and shame on you

There are many reasons this may be happening to you- i am a 47 yr old RN who has battled weifght since my early 30's - I used to work a shift that was 2 12 hour days followed immediatley by 2 12 hour nights then 4 days off - the flip flopping is not good for your body and as far as bad eating habits how could you get any worst on a shedule like that- you need to make a life change concentrate on eating well - calorie intake vs calorie usage - get sleep -and try to excercise 3-5 times a week - i have lost 40 ilbs in 5 months so im winning my battle -good luck with yours

i think id slip on that banana peal that the non existant cleaning staff could not get to and sue that place silly - they need a wake up-can OSHA do anything for you?

My wife was a travel ER RN and found that most places that need travellers need Both er and icu nurses. I am now an ICU nurse and and have the 1 year experience but im not sure i would feel comfortable with travelling as of yet. I wish our hospital permitted cross training in the ER as I would like to see that side of nursing as well

pole climing really has a school????

hey neil my wife has been a nurse 26 yrs - she started im open hearts that doesnt make her bad does it- each person is different and we DO NOT HAVE ENOUGH nurses to all start in med surg get a reality check - i have had to work 20 hours in a row due to NO relief damn id take a janitor with BCS

I agree hiker -also see your age :) not bad for a new grad

I was a police officer for over 20 years

Wow great input and passion all ways new and old- i am a new nurse [45 yrs old] my previous experience gives me maturity and confidence that some long time ICU nurses do not have-do I know it all NOOOO - I work at a teaching facility and I pride myself that I have the ability to seek out the answers which is what we should all be doing and to the long time RN's that cant be bothered helping the new grads-shame on you- and a reminder to all its only going to get worst THERE IS A NURSING SHORTAGE and an over abundance of ill elders